Active NPI
Anna Yam, PHD
- Clinical Psychologist
- San Marcos, CA
National Provider Identifier
1629435524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27651
- Practice address
- 310 S Twin Oaks Valley Rd # 107-474
San Marcos, CA 92078-4303 - Phone
- (760) 580-2358
- Fax
- (858) 203-0737
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27651 | CA | Primary |
Addresses
Primary practice location
310 S Twin Oaks Valley Rd # 107-474
San Marcos, CA 92078-4303
Mailing address
310 S Twin Oaks Valley Rd # 107-474
San Marcos, CA 92078-4303
Phone (760) 580-2358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27651 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1629435524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S TWIN OAKS VALLEY RD # 107-474",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920784303",
"telephone_number": "760-580-2358",
"fax_number": "858-203-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S TWIN OAKS VALLEY RD # 107-474",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920784303",
"telephone_number": "760-580-2358",
"fax_number": "858-203-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAM",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.